Health information
Pediatric Health History
For a child when the anesthesia team directs a parent or guardian to complete it.
Patient forms & instructions
Use only the documents requested for your appointment.
Your care team will confirm which forms apply to your appointment, when they are needed and how to return them.
Open PDF : Pediatric Health History
Health information
Adult Health History
For an adult patient when directed by the anesthesia team.
Consent document
Anesthesia Disclosure and Consent
General anesthesia disclosure and consent material for review as instructed.
Before the appointment
Preoperative Instructions
General preparation information. Individual instructions from your care team control.
After the appointment
Postoperative Instructions
General recovery information to use with the instructions provided at discharge.
Privacy document
Notice of Privacy Practices
Information about privacy practices related to anesthesia care.
Important
- Individual eating, drinking and medication instructions may differ from general materials.
- Tell the anesthesia team about health changes using the contact method provided to you.
- If an instruction was not followed or is unclear, contact the anesthesia team before traveling to the appointment.
- For a medical emergency, call emergency services—not an email address or website form.